'07/17-06/18' |
'2017-18' |
'COHS' |
'Orange' |
'Cal Optima' |
'Adult' |
'$269.69 ' |
'$277.54 ' |
'$285.38 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Orange' |
'Cal Optima' |
'BCCTP' |
'$1,223.33 ' |
'$1,258.76 ' |
'$1,294.19 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Orange' |
'Cal Optima' |
'Child' |
'$87.20 ' |
'$89.76 ' |
'$92.32 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Orange' |
'Cal Optima' |
'LTC' |
'$9,186.28 ' |
'$9,353.87 ' |
'$9,521.46 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Orange' |
'Cal Optima' |
'LTC/Full-Dual' |
'$5,620.22 ' |
'$5,712.13 ' |
'$5,804.04 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Orange' |
'Cal Optima' |
'OBRA' |
' $- ' |
' $- ' |
' $- ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Orange' |
'Cal Optima' |
'SPD' |
'$755.63 ' |
'$776.89 ' |
'$798.14 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Orange' |
'Cal Optima' |
'SPD/Full-Dual' |
'$157.39 ' |
'$161.26 ' |
'$165.12 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Orange' |
'Cal Optima' |
'Behavioral Health Treatment 0-6' |
'$2,549.14 ' |
'$2,609.19 ' |
'$2,671.26 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Orange' |
'Cal Optima' |
'Behavioral Health Treatment 7-20' |
'$1,902.15 ' |
'$1,946.96 ' |
'$1,993.27 ' |
'01/18-06/18' |
'2017-18' |
'COHS' |
'Orange' |
'Cal Optima' |
'Hepatitis C 340B' |
'$3,938.43 ' |
'$3,938.43 ' |
'$4,222.96 ' |
'07/17-12/17' |
'2017-18' |
'COHS' |
'Orange' |
'Cal Optima' |
'Hepatitis C 340B' |
'$5,615.24 ' |
'$5,615.24 ' |
'$6,010.88 ' |
'01/18-06/18' |
'2017-18' |
'COHS' |
'Orange' |
'Cal Optima' |
'Hepatitis C Non-340B' |
'$3,036.66 ' |
'$3,036.66 ' |
'$3,241.91 ' |
'07/17-12/17' |
'2017-18' |
'COHS' |
'Orange' |
'Cal Optima' |
'Hepatitis C Non-340B' |
'$4,406.73 ' |
'$4,406.73 ' |
'$4,561.08 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Orange' |
'Cal Optima' |
'Optional Expansion' |
'$419.50 ' |
'$433.47 ' |
'$448.08 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'San Luis Obispo' |
'CenCal Health' |
'Adult' |
'$301.28 ' |
'$310.02 ' |
'$318.76 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'San Luis Obispo' |
'CenCal Health' |
'BCCTP' |
'$1,266.18 ' |
'$1,302.92 ' |
'$1,339.65 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'San Luis Obispo' |
'CenCal Health' |
'Behavioral Health Treatment 0-6' |
'$2,772.30 ' |
'$2,837.60 ' |
'$2,905.09 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'San Luis Obispo' |
'CenCal Health' |
'Behavioral Health Treatment 7-20' |
'$1,951.78 ' |
'$1,997.76 ' |
'$2,045.28 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'San Luis Obispo' |
'CenCal Health' |
'Child' |
'$86.21 ' |
'$88.76 ' |
'$91.31 ' |
'01/18-06/18' |
'2017-18' |
'COHS' |
'San Luis Obispo' |
'CenCal Health' |
'Hepatitis C 340B' |
'$3,938.43 ' |
'$3,938.43 ' |
'$4,222.96 ' |
'07/17-12/17' |
'2017-18' |
'COHS' |
'San Luis Obispo' |
'CenCal Health' |
'Hepatitis C 340B' |
'$5,615.24 ' |
'$5,615.24 ' |
'$6,010.88 ' |
'01/18-06/18' |
'2017-18' |
'COHS' |
'San Luis Obispo' |
'CenCal Health' |
'Hepatitis C Non-340B' |
'$3,036.66 ' |
'$3,036.66 ' |
'$3,241.91 ' |
'07/17-12/17' |
'2017-18' |
'COHS' |
'San Luis Obispo' |
'CenCal Health' |
'Hepatitis C Non-340B' |
'$4,406.73 ' |
'$4,406.73 ' |
'$4,561.08 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'San Luis Obispo' |
'CenCal Health' |
'LTC' |
'$6,573.35 ' |
'$6,691.51 ' |
'$6,809.67 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'San Luis Obispo' |
'CenCal Health' |
'LTC/Full-Dual' |
'$5,427.05 ' |
'$5,515.16 ' |
'$5,603.27 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'San Luis Obispo' |
'CenCal Health' |
'OBRA' |
' $- ' |
' $- ' |
' $- ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'San Luis Obispo' |
'CenCal Health' |
'Optional Expansion' |
'$373.79 ' |
'$386.14 ' |
'$399.07 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'San Luis Obispo' |
'CenCal Health' |
'SPD' |
'$833.44 ' |
'$855.97 ' |
'$878.51 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'San Luis Obispo' |
'CenCal Health' |
'SPD/Full-Dual' |
'$208.31 ' |
'$213.06 ' |
'$217.80 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'Adult' |
'$313.18 ' |
'$322.29 ' |
'$331.40 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'BCCTP' |
'$1,342.64 ' |
'$1,381.64 ' |
'$1,420.64 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'Behavioral Health Treatment 0-6' |
'$2,486.02 ' |
'$2,544.58 ' |
'$2,605.10 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'Behavioral Health Treatment 7-20' |
'$1,963.52 ' |
'$2,009.77 ' |
'$2,057.58 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'Child' |
'$111.58 ' |
'$114.87 ' |
'$118.17 ' |
'01/18-06/18' |
'2017-18' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'Hepatitis C 340B' |
'$3,938.43 ' |
'$3,938.43 ' |
'$4,222.96 ' |
'07/17-12/17' |
'2017-18' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'Hepatitis C 340B' |
'$5,615.24 ' |
'$5,615.24 ' |
'$6,010.88 ' |
'01/18-06/18' |
'2017-18' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'Hepatitis C Non-340B' |
'$3,036.66 ' |
'$3,036.66 ' |
'$3,241.91 ' |
'07/17-12/17' |
'2017-18' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'Hepatitis C Non-340B' |
'$4,406.73 ' |
'$4,406.73 ' |
'$4,561.08 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'LTC' |
'$10,511.97 ' |
'$10,698.62 ' |
'$10,885.27 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'LTC/Full-Dual' |
'$6,824.58 ' |
'$6,935.37 ' |
'$7,046.15 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'OBRA' |
' $- ' |
' $- ' |
' $- ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'Optional Expansion' |
'$414.25 ' |
'$427.98 ' |
'$442.34 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'SPD' |
'$979.15 ' |
'$1,005.82 ' |
'$1,032.49 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Santa Barbara' |
'CenCal Health' |
'SPD/Full-Dual' |
'$226.58 ' |
'$231.79 ' |
'$237.01 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Merced' |
'Central California Alliance' |
'Behavioral Health Treatment 0-6' |
'$3,028.99 ' |
'$3,100.35 ' |
'$3,174.08 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Merced' |
'Central California Alliance' |
'Behavioral Health Treatment 7-20' |
'$2,254.71 ' |
'$2,307.83 ' |
'$2,362.72 ' |
'01/18-06/18' |
'2017-18' |
'COHS' |
'Merced' |
'Central California Alliance' |
'Hepatitis C 340B' |
'$3,938.43 ' |
'$3,938.43 ' |
'$4,222.96 ' |
'07/17-12/17' |
'2017-18' |
'COHS' |
'Merced' |
'Central California Alliance' |
'Hepatitis C 340B' |
'$5,615.24 ' |
'$5,615.24 ' |
'$6,010.88 ' |
'01/18-06/18' |
'2017-18' |
'COHS' |
'Merced' |
'Central California Alliance' |
'Hepatitis C Non-340B' |
'$3,036.66 ' |
'$3,036.66 ' |
'$3,241.91 ' |
'07/17-12/17' |
'2017-18' |
'COHS' |
'Merced' |
'Central California Alliance' |
'Hepatitis C Non-340B' |
'$4,406.73 ' |
'$4,406.73 ' |
'$4,561.08 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Monterey' |
'Central California Alliance' |
'Behavioral Health Treatment 0-6' |
'$2,816.09 ' |
'$2,882.43 ' |
'$2,950.98 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Monterey' |
'Central California Alliance' |
'Behavioral Health Treatment 7-20' |
'$2,055.07 ' |
'$2,103.49 ' |
'$2,153.52 ' |
'01/18-06/18' |
'2017-18' |
'COHS' |
'Monterey' |
'Central California Alliance' |
'Hepatitis C 340B' |
'$3,938.43 ' |
'$3,938.43 ' |
'$4,222.96 ' |
'07/17-12/17' |
'2017-18' |
'COHS' |
'Monterey' |
'Central California Alliance' |
'Hepatitis C 340B' |
'$5,615.24 ' |
'$5,615.24 ' |
'$6,010.88 ' |
'01/18-06/18' |
'2017-18' |
'COHS' |
'Monterey' |
'Central California Alliance' |
'Hepatitis C Non-340B' |
'$3,036.66 ' |
'$3,036.66 ' |
'$3,241.91 ' |
'07/17-12/17' |
'2017-18' |
'COHS' |
'Monterey' |
'Central California Alliance' |
'Hepatitis C Non-340B' |
'$4,406.73 ' |
'$4,406.73 ' |
'$4,561.08 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Santa Cruz' |
'Central California Alliance' |
'Behavioral Health Treatment 0-6' |
'$2,870.84 ' |
'$2,938.47 ' |
'$3,008.35 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Santa Cruz' |
'Central California Alliance' |
'Behavioral Health Treatment 7-20' |
'$1,994.14 ' |
'$2,041.12 ' |
'$2,089.66 ' |
'01/18-06/18' |
'2017-18' |
'COHS' |
'Santa Cruz' |
'Central California Alliance' |
'Hepatitis C 340B' |
'$3,938.43 ' |
'$3,938.43 ' |
'$4,222.96 ' |
'07/17-12/17' |
'2017-18' |
'COHS' |
'Santa Cruz' |
'Central California Alliance' |
'Hepatitis C 340B' |
'$5,615.24 ' |
'$5,615.24 ' |
'$6,010.88 ' |
'01/18-06/18' |
'2017-18' |
'COHS' |
'Santa Cruz' |
'Central California Alliance' |
'Hepatitis C Non-340B' |
'$3,036.66 ' |
'$3,036.66 ' |
'$3,241.91 ' |
'07/17-12/17' |
'2017-18' |
'COHS' |
'Santa Cruz' |
'Central California Alliance' |
'Hepatitis C Non-340B' |
'$4,406.73 ' |
'$4,406.73 ' |
'$4,561.08 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Merced' |
'Central Coast Alliance' |
'Adult' |
'$277.64 ' |
'$285.83 ' |
'$294.01 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Merced' |
'Central Coast Alliance' |
'BCCTP' |
'$1,120.81 ' |
'$1,153.47 ' |
'$1,186.13 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Merced' |
'Central Coast Alliance' |
'Child' |
'$80.93 ' |
'$83.39 ' |
'$85.85 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Merced' |
'Central Coast Alliance' |
'LTC' |
'$9,022.89 ' |
'$9,186.16 ' |
'$9,349.42 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Merced' |
'Central Coast Alliance' |
'LTC/Full-Dual' |
'$5,274.44 ' |
'$5,360.87 ' |
'$5,447.29 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Merced' |
'Central Coast Alliance' |
'OBRA' |
' $- ' |
' $- ' |
' $- ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Merced' |
'Central Coast Alliance' |
'Optional Expansion' |
'$302.33 ' |
'$312.39 ' |
'$322.92 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Merced' |
'Central Coast Alliance' |
'SPD' |
'$839.86 ' |
'$863.44 ' |
'$887.02 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Merced' |
'Central Coast Alliance' |
'SPD/Full-Dual' |
'$166.97 ' |
'$170.98 ' |
'$174.99 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Monterey' |
'Central Coast Alliance' |
'Adult' |
'$327.18 ' |
'$336.81 ' |
'$346.45 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Monterey' |
'Central Coast Alliance' |
'BCCTP' |
'$1,145.04 ' |
'$1,178.63 ' |
'$1,212.23 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Monterey' |
'Central Coast Alliance' |
'Child' |
'$81.14 ' |
'$83.60 ' |
'$86.06 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Monterey' |
'Central Coast Alliance' |
'LTC' |
'$10,228.39 ' |
'$10,415.99 ' |
'$10,603.60 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Monterey' |
'Central Coast Alliance' |
'LTC/Full-Dual' |
'$6,671.58 ' |
'$6,779.38 ' |
'$6,887.19 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Monterey' |
'Central Coast Alliance' |
'OBRA' |
' $- ' |
' $- ' |
' $- ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Monterey' |
'Central Coast Alliance' |
'Optional Expansion' |
'$374.20 ' |
'$386.60 ' |
'$399.59 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Monterey' |
'Central Coast Alliance' |
'SPD' |
'$990.20 ' |
'$1,018.07 ' |
'$1,045.95 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Monterey' |
'Central Coast Alliance' |
'SPD/Full-Dual' |
'$204.46 ' |
'$209.03 ' |
'$213.61 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Santa Cruz' |
'Central Coast Alliance' |
'Adult' |
'$345.13 ' |
'$355.25 ' |
'$365.38 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Santa Cruz' |
'Central Coast Alliance' |
'BCCTP' |
'$794.96 ' |
'$818.24 ' |
'$841.53 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Santa Cruz' |
'Central Coast Alliance' |
'Child' |
'$83.53 ' |
'$86.08 ' |
'$88.63 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Santa Cruz' |
'Central Coast Alliance' |
'LTC' |
'$7,915.78 ' |
'$8,071.75 ' |
'$8,227.72 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Santa Cruz' |
'Central Coast Alliance' |
'LTC/Full-Dual' |
'$5,497.51 ' |
'$5,587.62 ' |
'$5,677.74 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Santa Cruz' |
'Central Coast Alliance' |
'OBRA' |
' $- ' |
' $- ' |
' $- ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Santa Cruz' |
'Central Coast Alliance' |
'Optional Expansion' |
'$349.78 ' |
'$361.24 ' |
'$373.23 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Santa Cruz' |
'Central Coast Alliance' |
'SPD' |
'$1,094.14 ' |
'$1,124.28 ' |
'$1,154.42 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Santa Cruz' |
'Central Coast Alliance' |
'SPD/Full-Dual' |
'$203.60 ' |
'$208.19 ' |
'$212.79 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Ventura' |
'Gold Coast ' |
'Adult' |
'$344.64 ' |
'$354.84 ' |
'$365.04 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Ventura' |
'Gold Coast ' |
'BCCTP' |
'$1,123.40 ' |
'$1,156.31 ' |
'$1,189.22 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Ventura' |
'Gold Coast ' |
'Child' |
'$65.83 ' |
'$67.86 ' |
'$69.88 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Ventura' |
'Gold Coast ' |
'LTC' |
'$11,822.17 ' |
'$12,028.57 ' |
'$12,234.97 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Ventura' |
'Gold Coast ' |
'LTC/Full-Dual' |
'$6,213.83 ' |
'$6,314.06 ' |
'$6,414.30 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Ventura' |
'Gold Coast ' |
'OBRA' |
' $- ' |
' $- ' |
' $- ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Ventura' |
'Gold Coast ' |
'Optional Expansion' |
'$381.10 ' |
'$393.69 ' |
'$406.88 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Ventura' |
'Gold Coast ' |
'SPD' |
'$939.52 ' |
'$964.58 ' |
'$989.64 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Ventura' |
'Gold Coast ' |
'SPD/Full-Dual' |
'$228.69 ' |
'$233.53 ' |
'$238.37 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Ventura' |
'Gold Coast ' |
'Behavioral Health Treatment 0-6' |
'$2,542.63 ' |
'$2,602.53 ' |
'$2,664.42 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Ventura' |
'Gold Coast ' |
'Behavioral Health Treatment 7-20' |
'$2,095.40 ' |
'$2,144.76 ' |
'$2,195.77 ' |
'01/18-06/18' |
'2017-18' |
'COHS' |
'Ventura' |
'Gold Coast ' |
'Hepatitis C 340B' |
'$3,938.43 ' |
'$3,938.43 ' |
'$4,222.96 ' |
'07/17-12/17' |
'2017-18' |
'COHS' |
'Ventura' |
'Gold Coast ' |
'Hepatitis C 340B' |
'$5,615.24 ' |
'$5,615.24 ' |
'$6,010.88 ' |
'01/18-06/18' |
'2017-18' |
'COHS' |
'Ventura' |
'Gold Coast ' |
'Hepatitis C Non-340B' |
'$3,036.66 ' |
'$3,036.66 ' |
'$3,241.91 ' |
'07/17-12/17' |
'2017-18' |
'COHS' |
'Ventura' |
'Gold Coast ' |
'Hepatitis C Non-340B' |
'$4,406.73 ' |
'$4,406.73 ' |
'$4,561.08 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'San Mateo' |
'Health Plan of San Mateo' |
'Adult' |
'$300.77 ' |
'$309.58 ' |
'$318.39 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'San Mateo' |
'Health Plan of San Mateo' |
'BCCTP' |
'$1,255.44 ' |
'$1,292.17 ' |
'$1,328.90 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'San Mateo' |
'Health Plan of San Mateo' |
'Child' |
'$88.20 ' |
'$90.82 ' |
'$93.44 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'San Mateo' |
'Health Plan of San Mateo' |
'LTC' |
'$11,759.86 ' |
'$11,979.37 ' |
'$12,198.88 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'San Mateo' |
'Health Plan of San Mateo' |
'LTC/Full-Dual' |
'$5,352.71 ' |
'$5,440.42 ' |
'$5,528.14 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'San Mateo' |
'Health Plan of San Mateo' |
'OBRA' |
' $- ' |
' $- ' |
' $- ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'San Mateo' |
'Health Plan of San Mateo' |
'Optional Expansion' |
'$377.71 ' |
'$390.25 ' |
'$403.38 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'San Mateo' |
'Health Plan of San Mateo' |
'SPD' |
'$819.17 ' |
'$842.90 ' |
'$866.63 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'San Mateo' |
'Health Plan of San Mateo' |
'SPD/Full-Dual' |
'$160.11 ' |
'$164.14 ' |
'$168.17 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'San Mateo' |
'Health Plan of San Mateo' |
'Behavioral Health Treatment 0-6' |
'$2,960.91 ' |
'$3,030.66 ' |
'$3,102.74 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'San Mateo' |
'Health Plan of San Mateo' |
'Behavioral Health Treatment 7-20' |
'$2,161.21 ' |
'$2,212.12 ' |
'$2,264.74 ' |
'01/18-06/18' |
'2017-18' |
'COHS' |
'San Mateo' |
'Health Plan of San Mateo' |
'Hepatitis C 340B' |
'$3,938.43 ' |
'$3,938.43 ' |
'$4,222.96 ' |
'07/17-12/17' |
'2017-18' |
'COHS' |
'San Mateo' |
'Health Plan of San Mateo' |
'Hepatitis C 340B' |
'$5,615.24 ' |
'$5,615.24 ' |
'$6,010.88 ' |
'01/18-06/18' |
'2017-18' |
'COHS' |
'San Mateo' |
'Health Plan of San Mateo' |
'Hepatitis C Non-340B' |
'$3,036.66 ' |
'$3,036.66 ' |
'$3,241.91 ' |
'07/17-12/17' |
'2017-18' |
'COHS' |
'San Mateo' |
'Health Plan of San Mateo' |
'Hepatitis C Non-340B' |
'$4,406.73 ' |
'$4,406.73 ' |
'$4,561.08 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Marin' |
'Partnership Health Plan' |
'Adult' |
'$320.09 ' |
'$329.26 ' |
'$338.43 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Marin' |
'Partnership Health Plan' |
'BCCTP' |
'$2,223.22 ' |
'$2,287.51 ' |
'$2,351.80 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Marin' |
'Partnership Health Plan' |
'Child' |
'$131.36 ' |
'$135.17 ' |
'$138.97 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Marin' |
'Partnership Health Plan' |
'LTC' |
'$8,957.51 ' |
'$9,120.24 ' |
'$9,282.96 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Marin' |
'Partnership Health Plan' |
'LTC/Full-Dual' |
'$5,770.77 ' |
'$5,866.21 ' |
'$5,961.65 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Marin' |
'Partnership Health Plan' |
'OBRA' |
' $- ' |
' $- ' |
' $- ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Marin' |
'Partnership Health Plan' |
'Optional Expansion' |
'$445.61 ' |
'$460.32 ' |
'$475.71 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Marin' |
'Partnership Health Plan' |
'SPD' |
'$1,125.64 ' |
'$1,156.34 ' |
'$1,187.04 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Marin' |
'Partnership Health Plan' |
'SPD/Full-Dual' |
'$224.49 ' |
'$229.02 ' |
'$233.55 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Mendocino' |
'Partnership Health Plan' |
'Adult' |
'$287.17 ' |
'$295.42 ' |
'$303.66 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Mendocino' |
'Partnership Health Plan' |
'BCCTP' |
'$1,328.53 ' |
'$1,366.77 ' |
'$1,405.00 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Mendocino' |
'Partnership Health Plan' |
'Child' |
'$91.55 ' |
'$94.22 ' |
'$96.90 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Mendocino' |
'Partnership Health Plan' |
'LTC' |
'$7,471.89 ' |
'$7,598.17 ' |
'$7,724.44 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Mendocino' |
'Partnership Health Plan' |
'LTC/Full-Dual' |
'$5,522.04 ' |
'$5,612.21 ' |
'$5,702.38 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Mendocino' |
'Partnership Health Plan' |
'OBRA' |
' $- ' |
' $- ' |
' $- ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Mendocino' |
'Partnership Health Plan' |
'Optional Expansion' |
'$430.51 ' |
'$444.83 ' |
'$459.82 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Mendocino' |
'Partnership Health Plan' |
'SPD' |
'$924.35 ' |
'$950.39 ' |
'$976.44 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Mendocino' |
'Partnership Health Plan' |
'SPD/Full-Dual' |
'$152.32 ' |
'$155.93 ' |
'$159.55 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Napa' |
'Partnership Health Plan' |
'Adult' |
'$303.96 ' |
'$312.66 ' |
'$321.36 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Napa' |
'Partnership Health Plan' |
'BCCTP' |
'$1,203.07 ' |
'$1,237.84 ' |
'$1,272.61 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Napa' |
'Partnership Health Plan' |
'Child' |
'$134.94 ' |
'$138.89 ' |
'$142.83 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Napa' |
'Partnership Health Plan' |
'LTC' |
'$3,928.68 ' |
'$4,000.70 ' |
'$4,072.72 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Napa' |
'Partnership Health Plan' |
'LTC/Full-Dual' |
'$4,349.61 ' |
'$4,421.95 ' |
'$4,494.28 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Napa' |
'Partnership Health Plan' |
'OBRA' |
'$578.93 ' |
'$595.77 ' |
'$612.61 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Napa' |
'Partnership Health Plan' |
'Optional Expansion' |
'$520.50 ' |
'$537.71 ' |
'$555.72 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Napa' |
'Partnership Health Plan' |
'SPD' |
'$913.44 ' |
'$938.75 ' |
'$964.07 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Napa' |
'Partnership Health Plan' |
'SPD/Full-Dual' |
'$317.93 ' |
'$325.03 ' |
'$332.13 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Solano' |
'Partnership Health Plan' |
'Adult' |
'$289.44 ' |
'$297.79 ' |
'$306.14 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Solano' |
'Partnership Health Plan' |
'BCCTP' |
'$1,307.41 ' |
'$1,345.17 ' |
'$1,382.94 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Solano' |
'Partnership Health Plan' |
'Child' |
'$114.14 ' |
'$117.50 ' |
'$120.85 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Solano' |
'Partnership Health Plan' |
'LTC' |
'$6,651.15 ' |
'$6,771.28 ' |
'$6,891.42 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Solano' |
'Partnership Health Plan' |
'LTC/Full-Dual' |
'$5,732.26 ' |
'$5,827.53 ' |
'$5,922.80 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Solano' |
'Partnership Health Plan' |
'OBRA' |
'$180.24 ' |
'$185.55 ' |
'$190.85 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Solano' |
'Partnership Health Plan' |
'Optional Expansion' |
'$418.43 ' |
'$432.24 ' |
'$446.69 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Solano' |
'Partnership Health Plan' |
'SPD' |
'$1,018.78 ' |
'$1,046.88 ' |
'$1,074.98 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Solano' |
'Partnership Health Plan' |
'SPD/Full-Dual' |
'$305.06 ' |
'$311.84 ' |
'$318.62 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Sonoma' |
'Partnership Health Plan' |
'Adult' |
'$338.54 ' |
'$348.25 ' |
'$357.97 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Sonoma' |
'Partnership Health Plan' |
'BCCTP' |
'$1,236.78 ' |
'$1,272.32 ' |
'$1,307.86 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Sonoma' |
'Partnership Health Plan' |
'Child' |
'$84.81 ' |
'$87.26 ' |
'$89.72 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Sonoma' |
'Partnership Health Plan' |
'LTC' |
'$6,374.42 ' |
'$6,501.29 ' |
'$6,628.16 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Sonoma' |
'Partnership Health Plan' |
'LTC/Full-Dual' |
'$4,326.18 ' |
'$4,398.45 ' |
'$4,470.72 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Sonoma' |
'Partnership Health Plan' |
'OBRA' |
' $- ' |
' $- ' |
' $- ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Sonoma' |
'Partnership Health Plan' |
'Optional Expansion' |
'$430.99 ' |
'$445.18 ' |
'$460.03 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Sonoma' |
'Partnership Health Plan' |
'SPD' |
'$1,090.41 ' |
'$1,120.67 ' |
'$1,150.94 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Sonoma' |
'Partnership Health Plan' |
'SPD/Full-Dual' |
'$207.78 ' |
'$212.13 ' |
'$216.49 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Yolo' |
'Partnership Health Plan' |
'Adult' |
'$284.88 ' |
'$293.12 ' |
'$301.37 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Yolo' |
'Partnership Health Plan' |
'BCCTP' |
'$1,063.86 ' |
'$1,094.63 ' |
'$1,125.40 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Yolo' |
'Partnership Health Plan' |
'Child' |
'$129.40 ' |
'$133.18 ' |
'$136.97 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Yolo' |
'Partnership Health Plan' |
'LTC' |
'$6,216.53 ' |
'$6,329.85 ' |
'$6,443.16 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Yolo' |
'Partnership Health Plan' |
'LTC/Full-Dual' |
'$5,586.67 ' |
'$5,677.62 ' |
'$5,768.57 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Yolo' |
'Partnership Health Plan' |
'OBRA' |
'$231.50 ' |
'$238.30 ' |
'$245.10 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Yolo' |
'Partnership Health Plan' |
'Optional Expansion' |
'$381.99 ' |
'$394.59 ' |
'$407.77 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Yolo' |
'Partnership Health Plan' |
'SPD' |
'$1,051.85 ' |
'$1,080.25 ' |
'$1,108.66 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Yolo' |
'Partnership Health Plan' |
'SPD/Full-Dual' |
'$310.17 ' |
'$316.90 ' |
'$323.62 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Marin' |
'Partnership Health Plan' |
'Behavioral Health Treatment 0-6' |
'$2,850.98 ' |
'$2,918.14 ' |
'$2,987.54 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Marin' |
'Partnership Health Plan' |
'Behavioral Health Treatment 7-20' |
'$2,224.90 ' |
'$2,277.31 ' |
'$2,331.48 ' |
'01/18-06/18' |
'2017-18' |
'COHS' |
'Marin' |
'Partnership Health Plan' |
'Hepatitis C 340B' |
'$3,938.43 ' |
'$3,938.43 ' |
'$4,222.96 ' |
'07/17-12/17' |
'2017-18' |
'COHS' |
'Marin' |
'Partnership Health Plan' |
'Hepatitis C 340B' |
'$5,615.24 ' |
'$5,615.24 ' |
'$6,010.88 ' |
'01/18-06/18' |
'2017-18' |
'COHS' |
'Marin' |
'Partnership Health Plan' |
'Hepatitis C Non-340B' |
'$3,036.66 ' |
'$3,036.66 ' |
'$3,241.91 ' |
'07/17-12/17' |
'2017-18' |
'COHS' |
'Marin' |
'Partnership Health Plan' |
'Hepatitis C Non-340B' |
'$4,406.73 ' |
'$4,406.73 ' |
'$4,561.08 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Mendocino' |
'Partnership Health Plan' |
'Behavioral Health Treatment 0-6' |
'$2,684.68 ' |
'$2,747.92 ' |
'$2,813.27 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Mendocino' |
'Partnership Health Plan' |
'Behavioral Health Treatment 7-20' |
'$2,019.82 ' |
'$2,067.40 ' |
'$2,116.57 ' |
'01/18-06/18' |
'2017-18' |
'COHS' |
'Mendocino' |
'Partnership Health Plan' |
'Hepatitis C 340B' |
'$3,938.43 ' |
'$3,938.43 ' |
'$4,222.96 ' |
'07/17-12/17' |
'2017-18' |
'COHS' |
'Mendocino' |
'Partnership Health Plan' |
'Hepatitis C 340B' |
'$5,615.24 ' |
'$5,615.24 ' |
'$6,010.88 ' |
'01/18-06/18' |
'2017-18' |
'COHS' |
'Mendocino' |
'Partnership Health Plan' |
'Hepatitis C Non-340B' |
'$3,036.66 ' |
'$3,036.66 ' |
'$3,241.91 ' |
'07/17-12/17' |
'2017-18' |
'COHS' |
'Mendocino' |
'Partnership Health Plan' |
'Hepatitis C Non-340B' |
'$4,406.73 ' |
'$4,406.73 ' |
'$4,561.08 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Napa' |
'Partnership Health Plan' |
'Behavioral Health Treatment 0-6' |
'$2,765.17 ' |
'$2,830.31 ' |
'$2,897.62 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Napa' |
'Partnership Health Plan' |
'Behavioral Health Treatment 7-20' |
'$2,057.72 ' |
'$2,106.19 ' |
'$2,156.28 ' |
'01/18-06/18' |
'2017-18' |
'COHS' |
'Napa' |
'Partnership Health Plan' |
'Hepatitis C 340B' |
'$3,938.43 ' |
'$3,938.43 ' |
'$4,222.96 ' |
'07/17-12/17' |
'2017-18' |
'COHS' |
'Napa' |
'Partnership Health Plan' |
'Hepatitis C 340B' |
'$5,615.24 ' |
'$5,615.24 ' |
'$6,010.88 ' |
'01/18-06/18' |
'2017-18' |
'COHS' |
'Napa' |
'Partnership Health Plan' |
'Hepatitis C Non-340B' |
'$3,036.66 ' |
'$3,036.66 ' |
'$3,241.91 ' |
'07/17-12/17' |
'2017-18' |
'COHS' |
'Napa' |
'Partnership Health Plan' |
'Hepatitis C Non-340B' |
'$4,406.73 ' |
'$4,406.73 ' |
'$4,561.08 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Solano' |
'Partnership Health Plan' |
'Behavioral Health Treatment 0-6' |
'$2,757.72 ' |
'$2,822.68 ' |
'$2,889.81 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Solano' |
'Partnership Health Plan' |
'Behavioral Health Treatment 7-20' |
'$2,234.96 ' |
'$2,287.60 ' |
'$2,342.01 ' |
'01/18-06/18' |
'2017-18' |
'COHS' |
'Solano' |
'Partnership Health Plan' |
'Hepatitis C 340B' |
'$3,938.43 ' |
'$3,938.43 ' |
'$4,222.96 ' |
'07/17-12/17' |
'2017-18' |
'COHS' |
'Solano' |
'Partnership Health Plan' |
'Hepatitis C 340B' |
'$5,615.24 ' |
'$5,615.24 ' |
'$6,010.88 ' |
'01/18-06/18' |
'2017-18' |
'COHS' |
'Solano' |
'Partnership Health Plan' |
'Hepatitis C Non-340B' |
'$3,036.66 ' |
'$3,036.66 ' |
'$3,241.91 ' |
'07/17-12/17' |
'2017-18' |
'COHS' |
'Solano' |
'Partnership Health Plan' |
'Hepatitis C Non-340B' |
'$4,406.73 ' |
'$4,406.73 ' |
'$4,561.08 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Sonoma' |
'Partnership Health Plan' |
'Behavioral Health Treatment 0-6' |
'$2,877.19 ' |
'$2,944.97 ' |
'$3,015.01 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Sonoma' |
'Partnership Health Plan' |
'Behavioral Health Treatment 7-20' |
'$2,267.34 ' |
'$2,320.75 ' |
'$2,375.94 ' |
'01/18-06/18' |
'2017-18' |
'COHS' |
'Sonoma' |
'Partnership Health Plan' |
'Hepatitis C 340B' |
'$3,938.43 ' |
'$3,938.43 ' |
'$4,222.96 ' |
'07/17-12/17' |
'2017-18' |
'COHS' |
'Sonoma' |
'Partnership Health Plan' |
'Hepatitis C 340B' |
'$5,615.24 ' |
'$5,615.24 ' |
'$6,010.88 ' |
'01/18-06/18' |
'2017-18' |
'COHS' |
'Sonoma' |
'Partnership Health Plan' |
'Hepatitis C Non-340B' |
'$3,036.66 ' |
'$3,036.66 ' |
'$3,241.91 ' |
'07/17-12/17' |
'2017-18' |
'COHS' |
'Sonoma' |
'Partnership Health Plan' |
'Hepatitis C Non-340B' |
'$4,406.73 ' |
'$4,406.73 ' |
'$4,561.08 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Yolo' |
'Partnership Health Plan' |
'Behavioral Health Treatment 0-6' |
'$2,881.31 ' |
'$2,949.18 ' |
'$3,019.32 ' |
'07/17-06/18' |
'2017-18' |
'COHS' |
'Yolo' |
'Partnership Health Plan' |
'Behavioral Health Treatment 7-20' |
'$2,114.19 ' |
'$2,163.99 ' |
'$2,215.46 ' |
'01/18-06/18' |
'2017-18' |
'COHS' |
'Yolo' |
'Partnership Health Plan' |
'Hepatitis C 340B' |
'$3,938.43 ' |
'$3,938.43 ' |
'$4,222.96 ' |
'07/17-12/17' |
'2017-18' |
'COHS' |
'Yolo' |
'Partnership Health Plan' |
'Hepatitis C 340B' |
'$5,615.24 ' |
'$5,615.24 ' |
'$6,010.88 ' |
'01/18-06/18' |
'2017-18' |
'COHS' |
'Yolo' |
'Partnership Health Plan' |
'Hepatitis C Non-340B' |
'$3,036.66 ' |
'$3,036.66 ' |
'$3,241.91 ' |
'07/17-12/17' |
'2017-18' |
'COHS' |
'Yolo' |
'Partnership Health Plan' |
'Hepatitis C Non-340B' |
'$4,406.73 ' |
'$4,406.73 ' |
'$4,561.08 ' |